title: Anorectal avulsion: an exceptional rectal trauma.
abstract: Anorectal avulsion is an exceptional rectal trauma in which the anus and sphincter no longer join the perineum and are pulled upward. As a result, they ventrally follow levator ani muscles. We present a rare case of a 29-years old patient who was admitted in a pelvic trauma context; presenting a complete complex anorectal avulsion. The treatment included a primary repair of the rectum and a diverting colostomy so as to prevent sepsis. Closure of the protective sigmoidostomy was performed seven months after the accident and the evolution was marked by an anal stenosis requiring iterative dilatations.
authors.affiliation: Department of Surgery, School of Medicine and Pharmacy of Fez, Sidi Mohammed Ben Abdellah University, BP: 1893; Km2,200, Route de Sidi Hrazem, Fez 30000, Morocco. ibnmajdoubkarim@gmail.com.
authors.forename: Karim
authors.initials: K
authors.lastname: Ibn Majdoub Hassani
authors.forename: Said
authors.initials: S
authors.lastname: Ait Laalim
authors.forename: El Bachir
authors.initials: el B
authors.lastname: Benjelloun
authors.forename: Imane
authors.initials: I
authors.lastname: Toughrai
authors.forename: Khalid
authors.initials: K
authors.lastname: Mazaz